NPIMap

Individual provider Active NPI

Doshandra N Nelson, M.D.

  • Family Medicine Physician
  • Gaffney, SC
National Provider Identifier
1932334786
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35845 Issued in SC
Practice address
722 Hyatt St
Gaffney, SC 29341-2643
Phone
(864) 489-2400
Fax
(864) 488-1057
NPI assigned
May 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35845 SC Primary

Addresses

Primary practice location

722 Hyatt St
Gaffney, SC 29341-2643

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other identifiers 3

IdentifierTypeStateIssuer
SC22036121OtherSCMEDIACARE PIN
358455MedicaidSC
SC2203J577OtherSCMEDIACARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dnelson8451@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140106000711 SC Practitioner - Family Practice 0244468874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Medical CenterGroup PAC ID 5991041212, 38 clinicians

Practice addresses (Care Compare)

840 W Floyd Baker Blvd
Gaffney, SC 29341-1845
Phone (864) 489-3300

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Gaffney, SC, CCN 427117
  • Spartanburg Regional Home Health Home health agency, Spartanburg, SC, CCN 427024
  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35845SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Jan 31, 2015 Accepting new patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince May 1, 2016 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jan 31, 2015 Accepting new patients
Cherokee Medical Center Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Cherokee Medical Center CurrentSince Oct 1, 2019 Accepting new patients

Locations

722 Hyatt St
Ste A
Gaffney, SC 29341
Phone (864) 489-2400

1341 N Limestone St
Gaffney, SC 29340
Phone (864) 489-3300

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

722 Hyatt St
Gaffney, SC 29341
Phone (864) 488-3336

7221 S Pine St
Pacolet, SC 29372
Phone (864) 474-1528

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

101 E Wood St
Ste E300
Spartanburg, SC 29303

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1932334786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 HYATT ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412643",
            "telephone_number": "864-489-2400",
            "fax_number": "864-488-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DOSHANDRA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIACARE PIN",
            "identifier": "SC22036121",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358455",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIACARE PIN",
            "identifier": "SC2203J577",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnelson8451@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dnelson8451@direct-srhs.et0939.epichosted.com",
            "address_1": "722 Hyatt St",
            "city": "Gaffney",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293412643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.